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DR. MARK DOUGLAS BUTLER D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1790759504

Individual Registrant:
DR. MARK DOUGLAS BUTLER D.C.
Gender: M
Sole Proprietor

Location and contact information for practice:
2301 HIGHWAY 367 N  NEWPORT, AR 72112-2325 US
Tel: 870-523-5257  Fax: 870-523-5263

Contact information for business:
2301 HIGHWAY 367 N  NEWPORT, AR 72112-2325 US
Tel: 870-523-5257  Fax: 870-523-5263

Registration Information:
NPI: 1790759504
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
AR1155

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
138695001AR05




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